| Iman S Abou-chakra, MD | |
|
1201 E Michigan Ave, Ste 300, Jackson, MI 49201-1852 | |
| (517) 841-1431 | |
| (517) 841-1432 |
| Full Name | Iman S Abou-chakra |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 43 Years |
| Location | 1201 E Michigan Ave, Jackson, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952373078 | NPI | - | NPPES |
| 000000363133 | Other | OH | ANTHEM INS |
| 2478591 | Medicaid | OH | |
| 7138550 | Other | OH | AETNA INS |
| 270046615-001 | Other | OH | MEDICAL MUTUAL OF OHIO |
| P00191177 | Other | OH | RAILROAD MEDICARE |
| 11195950 | Other | OH | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 35083590 (Ohio) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 4301082675 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Henry Ford Allegiance Health | Jackson, MI | Hospital |
| Mercy St Vincent Medical Center | Toledo, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| W. A. Foote Memorial Hospital, Inc. | 0244136067 | 479 |
| Entity Name | W.a. Foote Memorial Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760437826 PECOS PAC ID: 0244136067 Enrollment ID: O20031212000691 |
| Entity Name | Rehabilitation Specialists Of Monroe P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255355871 PECOS PAC ID: 4981699501 Enrollment ID: O20040414001790 |
| Entity Name | Medcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265713242 PECOS PAC ID: 0749441442 Enrollment ID: O20120405000181 |
| Mailing Address | Practice Location Address |
|---|---|
| Iman S Abou-chakra, MD Po Box 67000, Department 272801, Detroit, MI 48267-2728 Ph: (517) 841-1431 | Iman S Abou-chakra, MD 1201 E Michigan Ave, Ste 300, Jackson, MI 49201-1852 Ph: (517) 841-1431 |
Mr. Abdullah Adnan, D.O Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1201 E Michigan Ave, Jackson, MI 49201 Phone: 847-962-1386 Fax: 517-205-7525 | |
Andrea Lynn Woodring, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-205-4704 | |
Dr. Bhavna Rajesh Shah, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-788-4897 | |
Zahirul Talukder, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2108 4th St, Suite A, Jackson, MI 49203 Phone: 517-788-9700 Fax: 517-784-8975 |